Cross-Reference to Related Applications
Field Of The Invention
[0002] The present invention generally relates to patient transfer devices and, more particularly
to a patient transfer apparatus which employs an air bearing to facilitate the transfer.
Background Of The Invention
[0003] Patient handling mattresses are known in the art which include at least two flexible
material sheets, that together define a plenum chamber, with at least one sheet being
perforated with small pinholes over at least a central surface area, and which open
up directly to the interior of the plenum chamber. Such prior art mattresses are used
by arranging the perforated sheet so that it faces an underlying fixed, generally
planar support surface, such as a floor or table. When the mattress is charged with
pressurized air, the escape of air under pressure through the pinholes acts initially
to jack a load placed upon the mattress above the perforated flexible sheet, and thereby
creates an air bearing of relatively small height between the underlying fixed, generally
planar support surface and the perforated flexible sheet.
[0004] For example, in
U. S. Patent No. 4,517,690, issued to Wegener, an air pallet is disclosed that is formed from upper and lower
thin flexible film sheets sealed at their edges to form a plenum chamber. Wegener's
air pallet functions to move a load with minimal friction over an underlying generally
planar fixed support surface. The bottom thin flexible material sheet is perforated
by small diameter perforations such as pin holes at the load imprint area.
[0005] In
U. S. Patent No. 5,561,873, issued to Weedling, provides an inflatable flexible pallet within which an array
of structurally interrelated inflatable chambers are formed to support a load when
inflated. The flexible pallet is configured to resist lateral and longitudinal shrinkage
of the load support surface, as well as ballooning and hot dogging. Rotational instability
is also reduced by providing a greater load surface support area.
[0006] In
U.S. Patent No. 6,073,291, issued to Davis, an inflatable medical patient transfer apparatus is disclosed that has a combination
of transverse partition members and a raised perimeter section to reduce deleterious
ballooning and uneven inflation as well as quick emergency deflation. Additional differentially
inflatable patient rolling chambers are disclosed on the top of the transfer apparatus
to provide assistance to medical personnel in beginning to roll patients reclining
or lying upon the transfer apparatus, particularly in a deflated condition on a hospital
bed.
[0007] All of the foregoing devices have suffered from an inability to be used during X-ray
imaging of a patient lying upon the mattress. Proper X-ray imaging requires that the
patient remain motionless during the exposure. Prior art transfer mattresses tend
to drift or move, and are easily moved by even small perturbations. Thus, they are
required to be deflated prior to effecting X-ray imaging of the patient. Unfortunately,
when deflated, the patient is forced to lie upon a very stiff table that can be quite
uncomfortable for heavier patients.
[0008] Many of the foregoing devices also suffer from the fact that when uninflated they
tend to bunch causing photo images to appear upon the x-ray exposures that mask underlying
physiological features of the patient. There is a continuing need to be able to easily
and safely x-ray a patient on an inflated transfer mattress.
Summary Of The Invention
[0009] The present invention provides a double chambered transfer mattress that is capable
of partial deflation. In one embodiment, a transfer mattress is provided that includes
a top inflatable mattress and a bottom inflatable mattress that are separated by a
common wall from one another. The bottom inflatable mattress includes a plurality
of holes or perforations disposed in a bottom panel. A selectable inlet/outlet valve
is arranged for airflow communication between an interior chamber of the top inflatable
mattress and a source of pressurized air. A one-way valve is positioned through the
common wall so as to provide selective air flow communication between the top inflatable
mattress and the bottom inflatable mattress so that when said inlet/outlet valve is
closed-off from the source of pressurized air, the bottom inflatable mattress deflates
by air escaping through the plurality of holes or perforations whereby the one-way
valve is actuated so as to prevent deflation of the top inflatable mattress.
[0010] In another embodiment a top sheet is provided having a width, a length, and peripheral
edges, an intermediate, barrier sheet having the same width, the same length, and
peripheral edges, and a bottom sheet having the same width, the same length, peripheral
edges and a plurality of perforations. A first perimeter band is sealingly fastened
between the peripheral edges of the top and barrier sheets and a second perimeter
band is sealingly fastened between the peripheral edges of the barrier and bottom
sheets. The peripheral edges of the top, barrier, and bottom sheets are sealingly
fastened to the respective perimeter bands by heat sealing. A plurality of baffles,
each having a width and a length, are attached to an inner surface of the top sheet
and the barrier sheet so as to be oriented between the top sheet and the barrier sheet.
A second plurality of baffles, each having a width and a length, are attached to an
inner surface of the barrier sheet and an inner surface of the bottom sheet so as
to be oriented between the barrier sheet and the bottom sheet. One or more inlet/outlet
openings are located within the perimeter bands so that the double chambered transfer
mattress may be inflated or deflated. Advantageously, one or more one-way valves are
located through the barrier sheet so as to provide selective air flow communication
between a first chamber formed between the top sheet, the barrier sheet, and the first
perimeter band and a second chamber formed between the barrier sheet, the bottom sheet,
and the second perimeter band. In this way, an inlet/outlet located in the first perimeter
band may be closed-off from the source of pressurized air so that the second chamber
deflates by air escaping through the plurlaity of holes or perforations. As the second
chamber deflates, the one or more one-way valves are actuated so as to present deflation
of the first chamber.
Brief Description Of The Drawings
[0011] These and other features and advantages of the present invention will be more fully
disclosed in, or rendered obvious by, the following detailed description of the preferred
embodiment of the invention, which is to be considered together with the accompanying
drawings wherein like numbers refer to like parts and further wherein:
Fig. 1 is a perspective view of a double chambered transfer mattress formed in accordance
with the present invention;
Fig. 2 is a cross-sectional view of the transfer mattress shown in Fig. 1;
Fig. 3 is a broken-away, cross-sectional view of a portion of Fig. 2;
Fig. 4 is a cross-sectional view of the double chamber transfer mattress shown in
Fig. 2, with the second chamber deflated and the mushroom valve actuated to a closed
position; and
Fig. 5 is a broken-away, cross-sectional view of a portion of Fig. 4.
Detailed Description Of The Preferred Embodiment
[0012] This description of preferred embodiments is intended to be read in connection with
the accompanying drawings, which are to be considered part of the entire written description
of this invention. The drawing figures are not necessarily to scale and certain features
of the invention may be shown exaggerated in scale or in somewhat schematic form in
the interest of clarity and conciseness. In the description, relative terms such as
"horizontal," "vertical," "up," "down," "top" and "bottom" as well as derivatives
thereof (e.g., "horizontally," "downwardly," "upwardly," etc.) should be construed
to refer to the orientation as then described or as shown in the drawing figure under
discussion. These relative terms are for convenience of description and normally are
not intended to require a particular orientation. Terms including "inwardly" versus
"outwardly," "longitudinal" versus "lateral" and the like are to be interpreted relative
to one another or relative to an axis of elongation, or an axis or center of rotation,
as appropriate. Terms concerning attachments, coupling and the like, such as "connected"
and "interconnected," refer to a relationship wherein structures are secured or attached
to one another either directly or indirectly through intervening structures, as well
as both movable or rigid attachments or relationships, unless expressly described
otherwise. The term "operatively connected" is such an attachment, coupling or connection
that allows the pertinent structures to operate as intended by virtue of that relationship.
In the claims, means-plus-function clauses, if used, are intended to cover the structures
described, suggested, or rendered obvious by the written description or drawings for
performing the recited function, including not only structural equivalents but also
equivalent structures.
[0013] Referring to Figs. 1-5, a double chambered transfer mattress 2 formed in accordance
with the present invention comprises a top panel 4, an internal barrier panel 5, a
bottom panel 6, a top perimeter band 8, a bottom perimeter band 10, and a plurality
of baffle-panels 11. More particularly, top panel 4 comprises a head portion 12, a
foot portion 14, and a peripheral edge 16. Top panel 4 is formed from a sheet of fabric,
e.g., nylon scrim or the like, that may be coated on at least its outer surface 18
with a water proof coating. Inner surface 19 of top panel 4 may also be coated with
a water proof coating as well. The water proof coating may be any of the well known
polymeric or elastomeric compounds that are known to be impervious to semi-solids
and liquids, such as, blood, urine, feces, hospital strength disinfecting compounds,
alcohol, or the like. For example, a nylon twill fabric that is coated on one side
with a heat sealable, polyurethane coating (e.g., an inner side) and the outer side
coated with a Durable Water Repellant (patient side). The presence of polyurethane
on the interior surfaces allows for heat sealing, eliminating needle holes.
[0014] Barrier panel 5 comprises a head portion 17, a foot portion 19, a top inner surface
20, a bottom inner surface 21, and a peripheral edge 23, and is often formed from
a sheet of fabric, e.g., nylon scrim or the like. One or more openings 27 are defined
through the peripheral side surface of barrier panel 5 so as to provide for air flow
communication. In one embodiment of the invention, a one way valve 31 is positioned
within each opening 27. One way valve 31 often takes the form of a so-called "mushroom
valve" which operates so as to keep gases traveling in one direction only. One way
valve 31 is biased so as to be normally in an open, free air flow configuration.
[0015] It should be understood that some or all of top panel 4, internal barrier panel 5,
bottom panel 6, top perimeter band 8, bottom perimeter band 10, and plurality of baffle-panels
11 are most often, but not always formed from a sheet of fabric, e.g., nylon scrim
or the like, and may be coated on at least its outer surface with a water proof coating.
The water proof coating may be any of the well known polymeric or elastomeric compounds
that are known to be impervious to semi-solids and liquids, such as, blood, urine,
feces, hospital strength disinfecting compounds, alcohol, or the like. For example,
a nylon twill fabric that is coated on one side with a heat sealable, polyurethane
coating (e.g., an inner side) and the outer side coated with a Durable Water Repellant
(Patient side). A practical benefit associated with the use of the foregoing preferred
materials is that double chambered transfer mattress 2 retains a better appearance
for longer periods of time during use. A double coated double chambered transfer mattress
2 can be easily wiped down, and can be put back into use more quickly.
[0016] Alternatively, in those instances where a single use, single patient mattress is
provided, i.e., where patient use lasting less than twenty four hours is desired,
some or all of top panel 4, internal barrier panel 5, bottom panel 6, top perimeter
band 8, bottom perimeter band 10, and plurality of baffle-panels 11 may be formed
from fibers for forming fabrics suitable for single use top panel 4 may be made of
materials, such as, acetate, acrylic, anidex, aramid, azlon, cotton, elastoester,
fluorocarbon, fur, glass, lyocell, melamine, metallic, modacrylic, modal, mosacrylic,
novoloid, nylon, nytril, olefin, PAN, PBI, PEEK, Pelco, PEN, PLA, PTT, polyester,
polyester-polyarylate, rayon, saran, spandex, sulfar, triacetate, vinal, vinyon, and
wool. A common characteristic of the foregoing and like materials is their propensity
to stain or discolor as a result of contact with blood, urine, feces, hospital strength
disinfecting compounds, alcohol, or the like. Additionally, a variety of films may
be used to form a single patient, single use double chambered transfer mattress 2,
for example, copolyester, copolyether, ethylene vinyl acetate, fluorocarbon, polyamide,
olefins, polybutylene, polycarbonate, polyester, polystyrene, polyurethane, polyvinyl,
alcohol, polyvinyl chloride, polyvinyl fluoride, and polyvinylidene chloride. A practical
benefit associated with the use of the foregoing preferred materials is that double
chambered transfer mattress 2 retains a stained and discolored appearance for longer
periods of time after use thereby alerting hospital staff or other care givers that
a particular double chambered transfer mattress 2 has completed its useful life, and
must be discarded.
[0017] In one embodiment, some or all of top panel 4, internal barrier panel 5, bottom panel
6, top perimeter band 8, bottom perimeter band 10, and plurality of baffle-panels
11 may comprise a cold water soluble partially hydrolyzed polyvinyl alcohol, cold
water insoluble hot water disintegrable aliphatic polyester, and minor proportions
of processing and performance aids. The aliphatic polyester has a melt temperature
above the normal body temperature of a human (37 degrees C.; 98.6 degrees F.) and
is present in the resin blend at a concentration sufficient to constitute the continuous
phase of the blend, with the polyvinyl alcohol constituting a discontinuous phase
of the blend. The aliphatic polyester renders the resin blend, and the partially hydrolyzed
polyvinyl alcohol in the blend is, cold water insoluble and determines the temperature
at which articles formed from the blend will be subject to dissolution in an aqueous
bath and subsequent disposal. A practical benefit associated with the use of the foregoing
material is that double chambered transfer mattress 2 not only retains a stained and
discolored appearance for longer periods of time after use, thereby alerting hospital
staff or other care givers that a particular double chambered transfer mattress 2
has completed its useful life, and must be discarded, but also if an attempt is made
to launder the mattress after a single use it disintegrates during the washing process.
[0018] Bottom panel 6 comprises a head portion 22, a foot portion 24, and a peripheral edge
26. Bottom panel 6 includes a plurality of tiny holes 30 that are defined through
its thickness to allow air, that is supplied by a high-pressure air supply to double
chambered transfer mattress 2, via an air supply hose 34, to escape in a controlled
manner. The air supplied to double chambered transfer mattress 2 escapes through plurality
of holes 30, providing a weight-bearing cushion of air that facilitates the sliding
of double chambered transfer mattress 2 along a surface, as well as, from one surface
to another.
[0019] Top perimeter band 8 and a bottom perimeter band 10 often take the form of elongate,
rectangular strips of any of the foregoing materials. Top perimeter band 8 is sealingly
fastened between peripheral edge 16 of top panel 4 and peripheral edge 20 of barrier
panel 5, e.g., by heat sealing, gluing or sewing, so as to form a first chamber 35.
Bottom perimeter band 10 is sealingly fastened between peripheral edge 20 of barrier
panel 5 and peripheral edge 26 of bottom panel 6, so as to form a second chamber 37.
[0020] Plurality of baffle-panels 11 each comprise substantially rectangular sheets of nylon
scrim or the like, and include a top edge 40 and a bottom edge 42. Baffle-panels 11
may have differing widths, depending upon their position within double chambered transfer
mattress 2. Two sets of baffle panels 11 are installed within double chambered transfer
mattress 2, a first set of baffle panels 11 is located in first chamber 35 and a second
set of baffle panels 11 is located in a second chamber 37. For the first set on baffle
panels 11, each top edge 40 is fastened transversely to a portion of inner surface
19 of top panel 4 and each bottom edge 42 is fastened transversely to a portion of
inner surface 20 of barrier panel 5. For the second set of baffle panels 11, each
top edge 40 is fastened transversely to a portion of inner surface 21 of barrier panel
5 and each bottom edge 42 is fastened transversely to a portion of inner surface 29
of bottom panel 6.
[0021] An inlet/outlet opening 50 is formed in perimeter band 8 that sealingly accepts an
air supply hose 34. Inlet opening 50 is sized and shaped so that air supply hose 34
may be inserted, with the inlet being thereafter snapped shut or otherwise closed
to hold air supply hose 34 in place while double chamber transfer mattress 2 is being
inflated. Inlet openings 50may also include a valve (not shown) that is biased to
be normally closed to prevent air from exiting through the inlet, and opened when
air supply hose 34 is inserted into inlet opening 50. Other arrangements known to
those skilled in the art may be used to inflate double chambered transfer mattress
2.
[0022] A double chambered transfer mattress 2 is assembled according to the present invention
in the following manner. Bottom panel 6 is laid out on a suitable support surface
so that second set of baffle-panels 11 may be transversely arranged in the center
section of inner surface 29. Once in this position, bottom edge 42 of each baffle-panel
11 is fixedly fastened to inner surface 29 of bottom panel 6. Baffle-panels 11 are
advantageously heat sealed along the interface between bottom edge 42 and inner surface
29 of bottom panel 6. This heat sealing may be done with the application of heat or
ultra sonic energy at the edge interface. In this way, a re-solidified interface structure
is formed so as to improve the bond and its resistance to rupture under normal loading.
[0023] Once second set of baffle-panels 11 are fastened to inner surface 29 of bottom panel
6, barrier panel 5 is arranged in overlying confronting relation with bottom panel
6 so that head portion 17 of barrier panel 5 is confronting head portion 22 of bottom
panel 6 and foot portion 19 of barrier panel 5 is confronting foot portion 24 of bottom
panel 6. Once in this position, each top edge 40 of each baffle-panel 11 is fixedly
fastened to inner surface 21 of barrier panel 5.
[0024] At this point in the assembly, top panel 4 is arranged in overlying confronting relation
with barrier panel 5 so that head portion 12 of top panel 4 is confronting head portion
17 of barrier panel 5 and foot portion 14 of top panel 4 is confronting foot portion
19 of barrier panel 5. Once in this position, second set of baffle panels 11 may be
assembled by fixedly fastening each top edge 40 of each baffle-panel 11 to inner surface
29 of top panel 4 and each bottom edge 42 of each baffle-panel 11 is fixedly fastened
to inner surface 20 of barrier panel 5. Top and bottom perimeter bands 8 and 10 are
then sealingly fastened to peripheral edge 16 of top panel 4, peripheral edge 20 of
barrier panel 5 and peripheral edge 26 of bottom panel 6 so as to complete construction
of double chambered transfer mattress 2.
[0025] Double chambered transfer mattress 2 is used when positioning a patient for X-ray
photography in the following manner. The patient (not shown) is positioned atop outer
surface 18 so that the patient's head is resting adjacent to head portion 12 atop
panel 4. Double chambered transfer mattress 2 is inflated by passing high pressure
air through opening 50 in top perimeter band 8. As the high pressure air enters first
chamber 35 it passes through one-way valve 31 disposed in opening 27 so as to also
pressurize second chamber 37. Once first chamber 35 and second chamber 37 are fully
inflated, with air flowing through holes 30 so as to effect the cushion of air necessary
for transfer of the patient, double chamber transfer mattress 2 is shifted laterally
from a gurney or table onto the table in the X-ray theater. Once in this position,
the source of high pressure air connected to opening 50 in top perimeter band 8 is
shut-off, and inlet/outlet opening 50 is closed so that pressurized air continues
to escape only through holes 30 in bottom panel 6. As the air escapes second chamber
37, one-way valve 31 is biased closed as barrier panel 5 moves toward bottom panel
6. In this way, air escaping from first chamber 35 is stopped by one-way valve 31.
As a consequence, the patient is comfortably positioned on top panel 4 while the X-ray
is taken. Once the X-ray procedure is completed air is reintroduced into double chamber
transfer mattress 2 so as to reinflate second chamber 37 and reopen one-way valve
31. Once second chamber 37 has been inflated with air flowing through holes 30, double
chamber transfer mattress 2 and the patient may be shifted from the X-ray table onto
the gurney for removal from the X-ray theater.
[0026] It is to be understood that the present invention is by no means limited only to
the particular constructions herein disclosed and shown in the drawings, but also
comprises any modifications or equivalents within the scope of the claims.
1. A transfer mattress comprising:
a top inflatable mattress having a selectable inlet/outlet valve arranged for airflow
communication between an interior chamber of said top inflatable mattress and a source
of pressurized air;
a bottom inflatable mattress separated by a common wall from said top inflatable mattress
and including a plurality of holes; and
a one-way valve positioned through said common wall so as to provide selective air
flow communication between said top inflatable mattress and said bottom inflatable
mattress so that when said inlet/outlet valve is closed-off from said source of pressurized
air, said bottom inflatable mattress deflates by air escaping through said plurality
of holes whereby said one-way valve is actuated so as to prevent deflation of said
top inflatable mattress.
2. A transfer mattress according to claim 1 wherein said common wall has at least one
opening defined therethrough and having said one-way valve disposed within said opening
that operates so as to keep air traveling in one direction only.
3. A transfer mattress according to claim 1 wherein said one way valve is biased so as
to be normally in an open, free air flow configuration.
4. A transfer mattress according to claim 1 wherein a top surface of said top inflatable
mattress is coated on at least its outer surface with a water proof coating.
5. A transfer mattress according to claim 1 wherein at least one of said top inflatable
mattress and said bottom inflatable mattress is formed from one or more fabrics selected
from the group consisting of acetate, acrylic, anidex, aramid, azlon, cotton, elastoester,
fluorocarbon, fur, glass, lyocell, melamine, metallic, modacrylic, modal, mosacrylic,
novoloid, nylon, nytril, olefin, PAN, PBI, PEEK, Pelco, PEN, PLA, PTT, polyester,
polyester-polyarylate, rayon, saran, spandex, sulfar, triacetate, vinal, vinyon, and
wool.
6. A transfer mattress according to claim 1 wherein at least one of said top inflatable
mattress and said bottom inflatable mattress is formed from one or more films selected
from the group consisting of copolyester, copolyether, ethylene vinyl acetate, fluorocarbon,
polyamide, olefins, polybutylene, polycarbonate, polyester, polystyrene, polyurethane,
polyvinyl, alcohol, polyvinyl chloride, polyvinyl fluoride, and polyvinylidene chloride.
7. A transfer mattress according to claim 1 wherein at least one of said top inflatable
mattress and said bottom inflatable mattress is formed from one or more fabrics which
comprise a cold water soluble partially hydrolyzed polyvinyl alcohol, cold water insoluble
hot water disintegrable aliphatic polyester.
8. A transfer mattress according to claim 1 wherein at least one of said top inflatable
mattress and said bottom inflatable mattress is formed from an aliphatic polyester
that has a melt temperature above a normal human body temperature and is present in
a resin blend at a concentration sufficient to constitute the continuous phase of
the blend, with a polyvinyl alcohol constituting a discontinuous phase of the blend,
wherein said aliphatic polyester renders said resin blend, and a partially hydrolyzed
polyvinyl alcohol in the blend cold water insoluble and determines a temperature at
which said at least one of said top inflatable mattress and said bottom inflatable
mattress formed from said blend will be subject to dissolution in an aqueous bath.
9. A transfer mattress comprising:
a top inflatable mattress defined by a top sheet and a perimeter band having a selectable
inlet/outlet valve arranged for airflow communication between an interior chamber
of said top inflatable mattress and a source of pressurized air;
a bottom inflatable mattress defined by a bottom sheet having a plurality of holes
and a perimeter band wherein said top inflatable mattress and said bottom inflatable
mattress are separated by a common sheet; and
a one-way valve positioned through said common sheet so as to provide selective air
flow communication between said top inflatable mattress and said bottom inflatable
mattress so that when said inlet/outlet valve is closed-off from said source of pressurized
air, said bottom inflatable mattress deflates by air escaping through said plurality
of holes whereby said one-way valve is actuated so as to prevent deflation of said
top inflatable mattress.
10. A transfer mattress comprising:
a top sheet having a width, a length, and peripheral edges, an intermediate, barrier
sheet having said width, said length, and peripheral edges;
a bottom sheet having said width, said length, peripheral edges and a plurality of
perforations;
a first perimeter band sealingly fastened between said peripheral edges of said top
and
barrier sheets and a second perimeter band sealingly fastened between said peripheral
edges of said barrier and bottom sheets;
a plurality of baffles, each having a width and a length, attached to an inner surface
of said top sheet and said barrier sheet;
a second plurality of baffles, each having a width and a length, attached to an inner
surface of said barrier sheet and an inner surface of said bottom sheet;
one or more inlet/outlet openings located within at least one of said perimeter bands;
and
one or more one-way valves located through said barrier sheet so as to provide selective
air flow communication between a first chamber formed between said top sheet, said
barrier sheet, and said first perimeter band and a second chamber formed between said
barrier sheet, said bottom sheet, and said second perimeter band so that when said
inlet/outlet valve is closed-off from said source of pressurized air, said bottom
inflatable mattress deflates by air escaping through said plurality of perforations
whereby said one-way valve is actuated so as to prevent deflation of said top inflatable
mattress.